Provider Demographics
NPI:1083650865
Name:TURLINGTON, CATHERINE L (OD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:L
Last Name:TURLINGTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 561
Mailing Address - Street 2:
Mailing Address - City:EXMORE
Mailing Address - State:VA
Mailing Address - Zip Code:23350-0561
Mailing Address - Country:US
Mailing Address - Phone:757-442-5079
Mailing Address - Fax:757-442-4685
Practice Address - Street 1:3298 MAIN STREET
Practice Address - Street 2:
Practice Address - City:EXMORE
Practice Address - State:VA
Practice Address - Zip Code:23350
Practice Address - Country:US
Practice Address - Phone:757-442-5079
Practice Address - Fax:757-442-5685
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000362152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9231277Medicaid
VA410026417Medicare ID - Type Unspecified
VAU50587Medicare UPIN